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Search › Indiana › Mental Illness Community Based Residential Treatment Facility

Thomas Buckner

NPI 1184094013 · on the registry since 2015 · sole proprietor

Practice

Address
1100 W 6th Ave
Gary, IN 46402
Phone
(219) 885-4264
Organisation at this address
Edgewater Health
Genoa Healthcare Llc
Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
233

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Also registered as
Mental Health Counselor
Sex
Male
Record last updated
2015-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana